Kevin J Southway, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mount Clemens, MI

  1. Home
  2. Nurse Anesthetist - CR
  3. MI
  4. Mount Clemens
Kevin J Southway, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Clemens, Michigan. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ascension Providence Hospital, Ascension Macomb Oakland Hospital, Pinnacle Anesthesia Pllc and his current practice location is 1000 Harrington St, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 493-8747.

Kevin J Southway is licensed to practice in Michigan (license number 4704244110) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407009335.

Contact Information

Kevin J Southway, CRNA
1000 Harrington St,
Mount Clemens, MI 48043-2920
(586) 493-8747
Not Available

Map and Direction




Provider's Profile

Full NameKevin J Southway
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location1000 Harrington St, Mount Clemens, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin J Southway graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1407009335
  • Provider Enumeration Date: 10/23/2008
  • Last Update Date: 10/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426119496
  • Enrollment ID: I20081209000533

Medical Identifiers

Medical identifiers for Kevin J Southway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407009335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704244110 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Providence Hospital6103738703290
Ascension Macomb Oakland Hospital7315859725127
Pinnacle Anesthesia Pllc862847119036

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin J Southway allows following entities to bill medicare on his behalf.
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396789434
PECOS PAC ID: 7315859725
Enrollment ID: O20031105000692
Entity NameNorthstar Anesthesia Of Michigan Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437268026
PECOS PAC ID: 7911895164
Enrollment ID: O20040309000625
Entity NameAscension Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851339196
PECOS PAC ID: 6103738703
Enrollment ID: O20040610001584
Entity NameSurgical Centers Of Michigan Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1962463133
PECOS PAC ID: 1355393364
Enrollment ID: O20050218000062
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871793505
PECOS PAC ID: 7315859725
Enrollment ID: O20080604000742
Entity NameMacomb Endoscopy Center Plc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780923128
PECOS PAC ID: 1850536012
Enrollment ID: O20130319000064
Entity NameGlps Staffing Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750797015
PECOS PAC ID: 2365668043
Enrollment ID: O20140801002058
Entity NameNorthstar Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871986372
PECOS PAC ID: 9638481591
Enrollment ID: O20150707000070
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814
Entity NamePinnacle Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295301133
PECOS PAC ID: 8628471190
Enrollment ID: O20210721000763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin J Southway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin J Southway, CRNA
1000 Harrington St,
Mount Clemens, MI 48043-2920

Ph: (586) 493-8747		Kevin J Southway, CRNA
1000 Harrington St,
Mount Clemens, MI 48043-2920

Ph: (586) 493-8747

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mount Clemens, MI

Javier Zarate,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Ms. Lindsey April Mcclain, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Claire Susan Simon, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: --    
Lyndon M Graham, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8747    
Yinghao Zhao, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8546    
Victoria L Struebing, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington Blvd, Mount Clemens, MI 48043
Phone: 586-493-8747    Fax: 586-493-8741
Christine L Dex, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-2844    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.